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We read with interest a recent article by Frémont1 presenting a novel approach to the management of athletes with a suspected concussion in which he questions the need for every athlete with a suspected concussion to undergo medical consultation with a physician. We commend Frémont's recognition of the significance and burden of this injury and his development of a novel scheme that would reduce the demands placed on the healthcare system; however, we have identified a number of challenges and concerns that would limit its applicability.

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